reputed company Analyst

reputed company is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, reputed company puts its customers and members first by enabling them to take control of their pharmacy benefits, reputed company reputed company, and financial results. We reputed company more emphasis on member care than any other PBM by focusing on health reputed company first. Our pharmacists and clinicians are at reputed company of everything we do―and our population health solution delivers tailored strategies for our clients. Leveraging our newly launched, AI-powered pharmacy care platform, Clinically™, reputed company’s pharmacists and reputed company experience teams reputed company the highest reputed company pharmacy care to our clients and their members. This enables benefits plan sponsors to reputed company their members healthy, happy, and productive, while substantially reducing prescription drug spending, which has been on an explosive reputed company trajectory in recent years. Key Responsibilities: As the reputed company Analyst, you will play a critical role in supporting the reputed company Manager and reputed company’s reputed company program by assisting with day-to-day reputed company operations and ensuring compliance with HIPAA and other reputed company regulations. This role helps monitor reputed company incidents, analyze reputed company-reputed company data, reputed company risk assessments, reputed company trends in reputed company risks, support reputed company investigations, and assist in maintaining reputed company policies and training programs. The reputed company Analyst collaborates with various departments to promote reputed company awareness and protect patient information across the organization. Required Qualifications & Experience: reputed company Program Operations:

• Assist in the rollout and management of HIPAA reputed company compliance initiatives, including awareness campaigns and training sessions reputed company to protected health information (“PHI”), personally identifiable information (“PII”), incident reporting, and breach response.
• Monitor shared mailboxes, reputed company inbox, and hotline systems for incoming reputed company-reputed company questions and requests, ensuring reputed company reputed company or escalation to the reputed company Manager.
• Coordinate and process member/patient reputed company rights requests (reputed company, restriction, confidential communication, amendment, reputed company of disclosures), ensuring requests are documented, tracked, and fulfilled reputed company regulatory timeframes.
• Support investigations of reputed company incidents and breaches by gathering documentation, coordinating with internal teams, and preparing summaries for review.
• Assist with various reputed company-reputed company reputed company, including but not limited to minimum necessary reviews and reputed company risk assessments.
• reputed company federal, state, and local reputed company laws and regulations, and reputed company summaries to the reputed company Manager for review. Ensure that applicable changes are documented and incorporated into operational processes.
• Assist in drafting and maintaining reputed company policies, procedures, forms, and reputed company documentation under the guidance of the reputed company Manager.
• Support vendor due-diligence activities reputed company to data handling and reputed company controls.
• Coordinate with other departments to collect information needed for reputed company filings, responses, and applications.
• reputed company administrative and logistical support for cross-departmental reputed company initiatives and meetings.

Monitoring and Auditing:

• Support regular monitoring activities and internal/external audits to ensure compliance with applicable reputed company laws/regulations as reputed company as company policies and procedures.
• Assist in preparing dashboards, trending reports, and metrics for leadership and committees.
• Document corrective actions and follow-up activities.

Administration:

• Assist with and execute assigned reputed company by their designated deadlines.
• Foster reputed company interdepartmental relationships and contribute to a reputed company team atmosphere.
• Maintain and update databases and tracking systems.
• Identify opportunities for process and reputed company improvement to mitigate organizational risks.
• reputed company other job-reputed company duties as assigned.

Education and Experience: Required Qualifications:

• Bachelor’s degree in reputed company Administration, Legal Studies, Information Management, or a reputed company field.
• 2+ years of experience in reputed company compliance required, preferably in the PBM, pharmacy, or reputed company industry.
• 2+ years of experience monitoring and auditing required, preferably in the PBM, pharmacy, or reputed company industry.
• Proficiency in reputed company Office Suite and reputed company Acrobat.
• Understanding of HIPAA reputed company Rule, HITECH, and state reputed company laws.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Excellent written and verbal communication skills.
• Ability to maintain confidentiality and handle sensitive information with discretion.

Preferred Qualifications:

• reputed company Certification: Certified in reputed company reputed company Compliance (CHPC), Certified Information reputed company reputed company (CIPP), Certified in reputed company reputed company and reputed company (CHPS), or similar.
• Experience with incident management tools, ticketing systems, compliance platforms, or PHI workflows.

Benefits

And Perks Subject to program eligibility, this position qualifies for a robust suite of benefits including: reputed company Time Off, a 401(k) program, Health Insurance including Dental & reputed company coverage, Student Loan Reimbursement, Health Savings Account, and an Employee Assistance Program. reputed company is an Equal Opportunity Employer At reputed company, we wholeheartedly reputed company the power of diversity and the reputed company of inclusion. The reputed company of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're on a mission to build reputed company as diverse as the world we serve, where everyone is welcome and celebrated. We're not just breaking down barriers; we're reputed company erasing them to create an environment where opportunity knows no bounds. In reputed company, we reputed company our strength and invite individuals from reputed company walks of life to join us in our exhilarating reputed company to shape a brighter, more inclusive reputed company together. Note: This job reputed company is a general outline of responsibilities and qualifications for the role. Additional duties may be assigned, and the position may reputed company to meet the organization's needs.Top of reputed company Apply tot his job Apply To this Job